W13 — Fall from, out of or through building or structure
Is W13 billable?
No — W13 is a non-billable header code. W13 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 21 billable codes beneath W13.
Billable codes under this header
- W13.0XXAFall from, out of or through balcony, initial encounter
- W13.0XXDFall from, out of or through balcony, subsequent encounter
- W13.0XXSFall from, out of or through balcony, sequela
- W13.1XXAFall from, out of or through bridge, initial encounter
- W13.1XXDFall from, out of or through bridge, subsequent encounter
- W13.1XXSFall from, out of or through bridge, sequela
- W13.2XXAFall from, out of or through roof, initial encounter
- W13.2XXDFall from, out of or through roof, subsequent encounter
- W13.2XXSFall from, out of or through roof, sequela
- W13.3XXAFall through floor, initial encounter
- W13.3XXDFall through floor, subsequent encounter
- W13.3XXSFall through floor, sequela
- W13.4XXAFall from, out of or through window, initial encounter
- W13.4XXDFall from, out of or through window, subsequent encounter
- W13.4XXSFall from, out of or through window, sequela
- W13.8XXAFall from, out of or through other building or structure, initial encounter
- W13.8XXDFall from, out of or through other building or structure, subsequent encounter
- W13.8XXSFall from, out of or through other building or structure, sequela
- W13.9XXAFall from, out of or through building, not otherwise specified, initial encounter
- W13.9XXDFall from, out of or through building, not otherwise specified, subsequent encounter
- W13.9XXSFall from, out of or through building, not otherwise specified, sequela
W13 at a glance
| Code | W13 |
|---|---|
| Description | Fall from, out of or through building or structure |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from W00-W19
The conditions below can never be reported together with W13 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from W00-W19
The conditions below are not part of W13, but a patient may have both at the same time. When documentation supports it, W13 and the excluded code may both be reported.
What codes fall under W13? (7)
- W13.0Fall from, out of or through balconynot billable
- W13.1Fall from, out of or through bridgenot billable
- W13.2Fall from, out of or through roofnot billable
- W13.3Fall through floornot billable
- W13.4Fall from, out of or through windownot billable
- W13.8Fall from, out of or through other building or structurenot billable
- W13.9Fall from, out of or through building, not otherwise specifiednot billable
How long has W13 existed?
W13 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.